NANNY APPLICATION FORM

We are proud to present the best candidates, and we are committed to work closely with you in order to find you a perfect fit. Please fill out the following form and a placement counselor will be in touch within 24 hours. Magnolia Academy Nannies and Tutors charges no placement fees to applicants and will help applicants to find the best fit without taking a fee from their paycheck. We can’t wait to provide you with the right path that will ensure success in your career.

CONTACT INFORMATION

First Name

Last Name

Email Address

Phone Number

ADDRESS

Street Address

Address Line 2

City

State/ Province

Postal/ Zip Code

Country

Are you 19 years of age or over?

Yes

No

Years of childcare experience?

Do you currently use tobacco products?

Yes

No

Do you have ability to pass the criminal background check once the offer of employment has been made?

Yes

No

Do you have a reliable car with car insurance?

Yes

No

Car Information

Do you have a valid Driver's License?

Yes

No

CONTINUING EDUCATION COURSES AND CERTIFICATIONS

Please mention other completed coursework or certifications that has not been mentioned above.

If you have any special needs experience, please explain what types.

Please list the languages you speak?

Are you covid vaccinated?

Yes

No

EDUCATION

What is the name of the High School you attended? Please enter the City, State, and the Country in which the High School is located in.

Please enter all incomplete degrees.

Please enter all completed college, undergraduate and graduate degrees.

CHILDCARE EXPERIENCE

Please use the sections below to enter all prior childcare work experience with families, parents/guardians.

#1 -Parent/Guardian name:

Location (City, State):

Position Type:

Start date to end date:

Age of children when job started:

Total number of children:

Duties:

#2 -Parent/Guardian name:

Location (City, State):

Position Type:

Start date to end date:

Age of children when job started:

Total number of children:

Duties:

#3 -Parent/Guardian name:

Location (City, State):

Position Type:

Start date to end date:

Age of children when job started:

Total number of children:

Duties:

CENTERS, DAYCARE AND OTHER TEACHING EXPERIENCE

#1 -Daycare/Company Name:

Location (City, State):

Start date to end date:

Duties:

#2 -Daycare/Company Name:

Location (City, State):

Start date to end date:

Duties:

REFERENCES

Please note, references will only be contacted once you have been interviewed by a placement counselor.

Reference Name # 1 & contact information:

Reference Name # 2 & contact information:

Reference Name # 3 & contact information:

Reference Name # 4 & contact information:

RESUME

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